PLEASE PRINT, COMPLETE AND RETURN THIS FORM TO:

Mr B Lansbury,

Membership Secretary,

Lansbury Worthington

5 King Street Cloisters,

Clifton Walk,  London W6 0GY

DX 32756 HAMMERSMITH 2

I apply to become a member of The West London Law Society and agree to be bound by the Society’s Rules. (These are published on the Society’s website: www.westlondonls.org.uk).

£         I am entitled to free membership as a trainee solicitor and wish to join the Trainee & Young Solicitors Group of WLLS (insert date of start of training contract  …………………………………)

£         I have not been admitted for more than three full years and wish to join the Trainee & Young Solicitors Group of WLLS (insert date of admission as a solicitor …………………..……………)

£         I am entitled to free membership of WLLS for the first year as I am paying by standing order. (Please complete the standing order section below)

£         I enclose cheque for £20.00 made payable to West London Law Society    

Field of specialisation (if any)  ………………………………………………………………………………………………………

Name   ………………………………………………………………………………………………………………………………………..

Signature     ………………………………………………………………………………………………………………………………..

Firm’s Name  ……………………………………………………………………………………………………………………………..

Address/DX   …………………………………………………………………………………………………………………………..…

……………………………………………………………………………………………………………………………….……………………..

E-mail:            ………………………………………………….……………  Tel: ………………………..…….…………………………..

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STANDING ORDER

To: Bank/Branch/Address  ……………………………………………………………..…………………………………..…

…………………………………………..……………………………………………    Sort Code ………………………………….……

Account name  …………………………………………………………    Account No…………………………………………

Member’s Name ………………………………………………………………………………………………………………………….

Please pay on 1 January 2007 to National Westminster Bank PLC., 10 Marylebone High Street, London W1 (Sort Code : 50-30-25) the sum of £20.00 for credit to the account of the West London Law Society (Account no:  04627296) and make similar payments on the 1^st January each year (or until this order is cancelled in writing) charging such payments to my/our account.  Please cancel any previous standing order to West London Law Society.

Signature:……………………………………………………………………………………………………………………………………….